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OREGON EAR NOSE AND THROAT SURGERY
NPI 1275821746
Clinic/Center - Ambulatory Surgical in Medford, OR

Active since July 18, 2011CLIA 38D2034543 · Waiver
920 ROYAL AVE, MEDFORD, OR 97504(541) 779-7331(541) 779-3522 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oregon Ear Nose And Throat Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON EAR NOSE AND THROAT SURGERY (NPI 1275821746) is a healthcare organization registered as an ambulatory surgical in Medford, Oregon and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Janney M Marin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275821746
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOREGON EAR NOSE AND THROAT SURGERY
Location Address920 ROYAL AVEMedford, OR 97504-6169
Mailing Address920 Royal AveMedford, OR 97504-6169 · (541) 779-7331 · Fax (541) 779-3522
Phone(541) 779-7331
Fax(541) 779-3522
Organization SubpartNo
Authorized OfficialJanney M MarinAdministrator · (541) 494-0500
Enumeration DateJuly 18, 2011
Last NPPES UpdateNovember 16, 2011
✔ NPI 1275821746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
920 ROYAL AVE, Medford, OR 97504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oregon Ear Nose And Throat Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20111116000342Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Oregon Ear Nose And Throat Surgery, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

David Chambers, MD
Otolaryngology
NPI 1619993953
1170 ROYAL AVE
Medford, OR 97504
(541) 779-7331
✔ PECOS0.1 mi
Jonathan Lee, M.D.
Otolaryngology
NPI 1265410211
1170 ROYAL AVE
Medford, OR 97504
(541) 779-7331
✔ PECOS✔ Accepts Medicare0.1 mi
Jay Reeck, MD
Otolaryngology
NPI 1972529212
1170 ROYAL AVE
Medford, OR 97504
(541) 779-7331
✔ PECOS0.1 mi
Sean Traynor, MD
Otolaryngology
NPI 1194741439
555 BLACK OAK DR STE 200
Medford, OR 97504
(541) 789-0321
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2034543

Oregon Ear Nose And Throat Surgery Center · Medford, OR
Active · expires Dec 27, 2027
CLIA Number38D2034543
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorDr. David W. Chambers MD
Laboratory Phone(541) 779-7331
Laboratory LocationOregon Ear Nose And Throat Surgery Center1170 Royal Ave, Medford, OR 97504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
13 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Ear Nose And Throat Surgery's NPI number?

The NPI number for Oregon Ear Nose And Throat Surgery is 1275821746. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Oregon Ear Nose And Throat Surgery located?

Oregon Ear Nose And Throat Surgery is located at 920 Royal Ave, Medford, OR 97504. The listed phone number is (541) 779-7331.

What is Oregon Ear Nose And Throat Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Oregon Ear Nose And Throat Surgery enrolled in Medicare?

Yes. Oregon Ear Nose And Throat Surgery is registered in the Medicare PECOS enrollment system.

Does Oregon Ear Nose And Throat Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2034543) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oregon Ear Nose And Throat Surgery accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Oregon Ear Nose And Throat Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oregon Ear Nose And Throat Surgery was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.